Carmen Murillo
Berwyn,Illinois
Summary
Revenue Cycle Coordinator with Chicago Cosmetic Surgery and Dermatology. Outgoing RCC with experience overseeing multiple tasks and managing employees successfully. Hardworking professional committed to providing outstanding customer service and assistance. Excelled in cross-departmental collaboration, achieving significant improvements in billing cycle efficiency and compliance with healthcare regulations.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Revenue Cycle Coordinator
Chicago Cosmetic Surgery and Dermatology
01.2023 - Current
- Coordinate cross-departmental efforts for timely resolution of account discrepancies.
- Maintains strict adherence to regulatory guidelines by staying informed on changes in healthcare legislation affecting revenue cycle operations.
- Established relationships with insurance providers to expedite claims processing and secure timely payment of services rendered.
- Actively participates in industry conferences to stay current on best practices for maximizing revenue cycle performance.
- Improved overall patient satisfaction with billing and insurance procedures for a more positive experience.
- Optimize charge capture processes, resulting in increased net revenue for the organization.
- Reduced outstanding accounts with both insurance and patient receivable balances through diligent follow-up.
- Collaborates effectively with clinical teams to address documentation issues impacting reimbursement rates.
- Diligently work with the Financial Consultant on Month End Reports.
- Assess current revenue cycle procedures and implement improvements to foster efficiency.
- Supports clinical team members with revenue cycle procedures and address issues.
- Manage and train staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Optimize organizational systems for payment collections, deposits, and recordkeeping.
- Completed bi-weekly payroll for 2 employees.
Billing Specialist Lead
Chicago Cosmetic Surgery and Dermatology
04.2012 - 01.2023
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Produced and mailed monthly statements to patients and assisted with related requests for information and clarification.
- Generated monthly billing and posting reports for management review.
- Work closely with insurance payers for claims corrections, denials and audits.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Collaborated with patients to resolve disputes.
- Handled account payments and provided information regarding outstanding balances.
- Used data entry skills to accurately document and input statements.
- Responded to customer concerns and questions on daily basis.
- Proactively addressed potential billing discrepancies by conducting pre-billing audits.
- Reduced billing errors, leading to decrease in customer complaints, by conducting regular audits of billing data.
- Collaborated with Patient Care team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.
Patient Care Representative
Chicago Cosmetic Surgery and Dermatology
12.2006 - 04.2012
- Maintained confidentiality of patient data and condition to safeguard health information.
- Actively participated in staff meetings contributing valuable insights into improving processes within the clinic to enhance patient experience.
- Efficiently managed high volumes of phone calls, messages, and inquiries from patients or other healthcare providers, ensuring prompt responses and resolutions.
- Responded to patient queries and concerns concerning insurance coverages and deductibles.
- Greeted and directed patients to examination rooms and verified insurance coverage and collected co-payments.
- Demonstrated exceptional organizational skills by managing multiple tasks simultaneously while prioritizing urgent matters effectively in a fast-paced setting.
- Scheduled approximately 50 patients per week and made reminder calls.
- Trained new staff on filing, phone etiquette and other office duties.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Delivered support to medical staff in completion of patient paperwork.
- Greeted and assisted patients with check-in procedures.
- Facilitated communication between patients and various departments and staff.
- Provided excellent customer service to patients and medical staff.
- Followed document protocols to safeguard confidentiality of patient records.
- Verified patient insurance eligibility and entered patient information into system.
- Responded to inquiries by directing calls to appropriate personnel.
- Answered incoming calls, scheduled appointments and filed medical records.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
Education
High School Diploma -
Charles P Steinmetz High School
Chicago07.1994
Skills
- ICD-10 Proficiency
- HIPAA Regulations
- HCPCS Coding
- Accounts Receivable
- Insurance Verification
- Denial Management
- Medicare knowledge
- Healthcare compliance
- Claims Management
- Medical Billing
- Collections Management
- Problem-Solving
- Attention to Detail
- Microsoft Office
- Analytical Thinking
Certification
- Certified Dermatology Coder, Inga Ellzey - 2012 - Current
- Certified Billing Compliance Officer, AMBA- 2024
Languages
Spanish
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Revenue Cycle Coordinator
Chicago Cosmetic Surgery and Dermatology
01.2023 - Current
Billing Specialist Lead
Chicago Cosmetic Surgery and Dermatology
04.2012 - 01.2023
Patient Care Representative
Chicago Cosmetic Surgery and Dermatology
12.2006 - 04.2012
High School Diploma -
Charles P Steinmetz High School
- Certified Dermatology Coder, Inga Ellzey - 2012 - Current
- Certified Billing Compliance Officer, AMBA- 2024
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